Organization
KONFETTI KIDZ THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MANRESA MS, OTR/L (CLINICAL DIRECTOR)
(954) 606-5439
Entity
Organization
Contact information
Practice address
17901 NW 5TH ST STE 201, PEMBROKE PINES, FL 33029
(954) 606-5439
Mailing address
17901 NW 5TH ST STE 201, PEMBROKE PINES, FL 33029-2810
(954) 606-5439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/20/2017
Last updated
08/24/2018
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